La lōkohu ʻo ia ka mumū o ka pancreas. ka pancreas He kele ia ma hope o ka ʻōpū, kokoke i ke akepaʻa, kahi e hoʻopuka ai i nā enzyme e pono ai no ka ʻai ʻana a me nā hormones e kōkua i ka hoʻoponopono ʻana i ke kō (glucose) i loko o ke koko. Hoʻopilikia ka pancreatitis i ka pancreas a me nā ʻiʻo a puni.

ʻElua mau ʻano o ka pancreatitis:

• ʻO ka pancreatitis acute hiki koke a mau no kekahi mau lā. ʻO ka hapa nui o nā hihia ma muli o ka gallstones a i ʻole ma muli o ka inu ʻona nui.
• ʻO ka pancreatitis Hoʻomaka pinepine ʻia ma hope o kahi hanana o ka maʻi pancreatitis a hiki ke mau no kekahi mau makahiki.

ʻO nā kumu o ka maʻi pancreatitis

ʻO ka hapa nui o nā maʻi o ka maʻi pancreatitis ma muli o ka gallstones a i ʻole ka inu ʻona nui. ʻO ka ʻai ʻana i nā meaʻai momona, nā maʻi (e like me ka mumps a i ʻole ka maʻi hepatitis viral), nā pilikia ma hope o ka ʻoki ʻana, ka ʻeha o ka ʻōpū, a i ʻole ka maʻi kanesa o ka pancreas hiki ke hoʻoulu i ka maʻi maʻi pancreatitis. ʻO kekahi mau lāʻau lapaʻau, no ka laʻana he antiparasitic e like me pentamidine (Pentam®), didanosine (Videx®), i hoʻohana ʻia no ka mālama HIV a i ʻole nā ​​diuretics a me nā sulfonamides hiki ke hoʻoulu i ka maʻi pancreatitis acute. Ma kahi o 15% a 25% o nā hihia o ka maʻi pancreatitis ʻaʻohe kumu ʻike ʻole.

Ma kahi o 45% o nā hihia o ka maʻi maʻi pancreatitis ma muli o ka inu ʻana i ka waiʻona lōʻihi, e alakaʻi ana i ka pōʻino a me ka calcification i ka pancreas. ʻO nā kumu ʻē aʻe, e like me nā maʻi pancreatic hoʻoilina, cystic fibrosis, lupus, kiʻekiʻe triglyceride pae hiki ke hoʻoulu i ka maʻi pancreatitis mau. Ma kahi o 25% o nā hihia o ka maʻi pancreatitis maʻi he kumu ʻike ʻole.

ʻO nā pilikia o ka pancreatitis

Hiki i ka pancreatitis ke alakaʻi i nā pilikia koʻikoʻi:

• Nā maʻi hanu. Hiki i ka maʻi pancreatitis ke alakaʻi i ka hāʻule ʻana o ka hanu, hiki ke hoʻohaʻahaʻa i ke kiʻekiʻe o ka oxygen i loko o ke koko i hiki ke pilikia.
• ʻO ka maʻi maʻi. Hiki i ka maʻi maʻi pancreatitis ke hōʻino i nā cell e hana ana i ka insulin, hiki ke alakaʻi i ka maʻi diabetes.
• Maʻi kīnā. Hiki i ka maʻi maʻi pancreatitis ke hoʻopilikia i ka pancreas i nā maʻi bacteria a me nā maʻi. Hiki ke koʻikoʻi ka maʻi o ka pancreas a pono e ʻoki ʻia e wehe i ka ʻiʻo i loaʻa i ka maʻi.
• Hoka kōpaʻa. Hiki i ka maʻi pancreatitis ke hoʻoulu i ka hōʻino ʻana o ka puʻupaʻa, inā he koʻikoʻi a hoʻomau, pono e mālama ʻia me ka dialysis.
• Kaʻai pono ʻole. Hiki i ka maʻi maʻi a me ka maʻi pancreatitis ke pale i ka pancreas mai ka hana ʻana i nā enzyme e pono ai no ka lawe ʻana i nā meaʻai. Hiki iā ia ke alakaʻi i ka ʻai ʻole, ka maʻi maʻi, a me ka pohō kaumaha.
• ʻO ka maʻi ʻaʻai pancreatic. ʻO ka mumū lōʻihi o ka pancreas i hoʻokumu ʻia e ka maʻi pancreatitis maʻi he mea pilikia ia no ka hoʻomohala ʻana i ka maʻi maʻi pancreatic.
• ʻO ka ʻōpū pancreatic. Hiki i ka maʻi maʻi maʻi pancreatitis ke hoʻoulu i ka wai a i ʻole nā ​​​​palapala e kūkulu i loko o nā ʻeke like-like i loko o ka pancreas. Hiki i ka cyst ruptured ke hoʻoulu i nā pilikia, e like me ke kahe koko a me ka maʻi.

ʻO ka hōʻailona o ka pancreatitis

Hiki i nā hoʻāʻo koko ke hōʻoia i ka maʻi pancreatitis ma muli o ke kiʻekiʻe o nā enzyme digestive (amylase a me lipase), nā kō, ka calcium a i ʻole lipids (momona).  

Hiki ke hoʻohana ʻia kahi CT scan e ʻike ai i ka pehu ʻana o ka pancreas, ke kūkulu ʻana o ka wai i loko o ka ʻōpū, a i ʻole ke kū ʻana o nā pseudocysts.

Hiki ke hoʻohana ʻia ke kiʻi hoʻopaneʻe mākēneki (MRI) a me ka tomography i hoʻopaʻa ʻia no ka ʻike ʻana i ka loaʻa ʻana o nā pōhaku i loko o ka gallbladder.